{"npi":"1861770513","type":"NPI-2","status":"active","name":{"display":"Oceanside Medical Group, A Medical Corporation","other":[],"organization_name":"OCEANSIDE MEDICAL GROUP, A MEDICAL CORPORATION","authorised_official":"Gadson Johnson"},"specialty":{"primary_taxonomy":"2084P0800X","primary_taxonomy_description":"Psychiatry","slug":"psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0805X","description":"Geriatric Psychiatry Physician","primary":false,"state":null,"license":null},{"code":"2084P0800X","description":"Psychiatry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"701 SANTA MONICA BLVD","city":"SANTA MONICA","state":"CA","postal_code":"904012623","country_code":"US","street_2":"SUITE 230","phone":"3109934103","fax":"8054948385"},{"purpose":"MAILING","street_1":"701 SANTA MONICA BLVD","city":"SANTA MONICA","state":"CA","postal_code":"904012623","country_code":"US","street_2":"SUITE 230","phone":"3109934103","fax":"8054948385"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"FNP41555","state":"CA","issuer":"FNP"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110930000204","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"9335311042"}]},"enumeration_date":"2011-07-29","last_updated":"2011-07-29","_meta":{"source":"NPPES","snapshot_date":"2011-07-29","doc_url":"https://findmynpi.com/api"}}